臂丛神经检查（简好）课件.ppt

Background and purpose Brachial plexus be made up of Ventral rami, ganglion, trunks, cords and branches.besides ,all of parts are not in line or plane and adjacent complex structures. unfortunately, conventional MRI scanning can’t reveal entire brachial plexus. 臂丛神经在结构上由根、干、股、束、支组成，空间走行既不共线也不共面且毗邻关系复杂 Anatomy of brachial plexus臂丛神经解剖 回顾：臂丛神经成像方法 CTM CT脊髓造影 Ultrasound 超声 MRI 磁共振 --SE --TSE --IR and TIR Disadvantages of Imaging methods mentioned above既往成像方法的缺点 CT成像方法需要造影剂，有电离辐射，只能显示硬膜囊内的部分神经 超声分辨率较CT、MRI低，只能显示较为表浅的部分 MRI常规扫描只能显示部分臂丛神经，很难完整显示其形态结构，不能全景显示臂丛神经 能否全景显示臂丛神经？ Background and purpose Methods Eighteen volunteers were underwent conventional MRI and echo planar imaging scanning. The images acquired were compared with the standard anatomical pictures. 对18例志愿者行回波平面成像序列和常规MRI扫描，图像重建后与人体相应部分的解剖图谱对照 :::a detailed account of methods::: Clinical data:18 volunteers were undergone MRI scanning, men 11 and women 7,age:25~52year,average:37.PE(-) 一般资料：18例志愿者，均为本院学生和本科工作人员，其中男性11例，女性7例，年龄为25～52岁，平均37岁。所有病例体格检查均无阳性发现，无臂丛神经损伤的病史和症状 MRI examination protocol: Siemens,Magnetom Trio, A Tim System 3T, syngo MR 2006T, standard head coil and spine coil MRI检查方法：Siemens,Magnetom Trio, A Tim System 3T, syngo MR 2006T。线圈选择颈部阵列线圈加颈后脊柱表面线圈 Conventional MR sequences: T1WI, T2WI, T2*WI 常规MR扫描,包括T1WI, T2WI, T2*WI STIR-EPI（developed by ourselves） 短TI反转恢复回波平面成像序列（自行设计） STIR-EPI introduction短TI反转恢复回波平面成像序列介绍 Based on EPI 3D FT method STIR Segment K space and minimum EPS SENSE（GRAPPA） Nerve explorer Patent right registering… Axial images were obtained, and post-processing techniques such as Maximum Intensity Projection (MIP), thin slice MIP and MultiPlanar Reformation (MPR) were made to generate images of brachial plexus, and the images acquired were evaluated by two experienced radiologists with Gray’s anatomical sections and diagrams. 对获得的原始图像进行最大信号强度投影（MIP），薄层MIP，多曲面重建（MPR）等后处理，由2名高年资放射科医师观察并参照格氏解剖学图谱评价后处理图像 Evaluation contents: brachial plexus demonstration, i